Dr. Muhammad Zohaib Siddiq
Cardiology
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Patient's Query
Hello doctor,
I have experienced two episodes of chest pain within a span of two weeks, each lasting less than 10 seconds and waking me up at night. My doctor conveyed that while all blood tests yielded normal results, the ECG showed abnormalities unrelated to a heart attack. The ultrasound did not reveal any specific issues, and I have no prior history of heart problems or other health concerns. My blood pressure and other health parameters are within the normal range. A previous ECG taken several years ago had shown no abnormalities. I am seeking insights from a cardiologist regarding my abnormal ECG, attached herein, and would appreciate a detailed explanation of the irregularities observed. Furthermore, I am keen to understand the possible causes for this abnormality and want to know the recommended next steps for evaluation. Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
Thank you for your query.
Brief episodes of chest pain typically do not signal a cardiac issue.
The ECG reveals T wave inversions in leads V3-V6. It is important to note that inverted T waves hold significance only if the ECG was taken during chest pain. In the absence of chest pain, these inverted T waves are termed as non-specific.
Regardless of existing heart concerns, consider the following:
If you possess risk factors like diabetes, hypertension, smoking, or a family history of heart problems, further evaluation is advisable.
Recurrent chest pain, particularly during exertion, warrants additional assessment.
If you experience frequent chest discomfort at rest, especially in the early morning, further investigation is recommended.
For scenarios 1 and 2, a stress test would be beneficial, and holter monitoring is recommended for scenario 3.
Feel free to explore more information about chest pains in the articles section for additional insights.
I hope it helped. Feel free to reach out if you have any further queries.
Thank you.
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Cardiology
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